Organization
SOUNDSIDE ORTHOTICS & PROSTHETICS, LLC
Active
Organization
SOUNDSIDE ORTHOTICS & PROSTHETICS, LLC
Active
Other names
Coastal Prosthetics & Orthotics, LLC, Evergreen Prosthetics and Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH HUNTSMAN (CEO)
(252) 638-1312
Entity
Organization
Contact information
Practice address
2309 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-1725
(919) 778-8844
(252) 631-1859
Mailing address
1421 S GLENBURNIE RD STE D, NEW BERN, NC 28562-2603
(252) 638-1312
(252) 631-1859
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
06/17/2026
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